Healthcare Provider Details

I. General information

NPI: 1649377334
Provider Name (Legal Business Name): HOWARD I FRUMIN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/17/2006
Last Update Date: 10/30/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24411 HEALTH CENTER DR #550
LAGUNA HILLS CA
92653-3651
US

IV. Provider business mailing address

24411 HEALTH CENTER DR #550
LAGUNA HILLS CA
92653-3651
US

V. Phone/Fax

Practice location:
  • Phone: 949-770-6252
  • Fax: 949-916-0140
Mailing address:
  • Phone: 949-770-6252
  • Fax: 949-916-0140

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0001X
TaxonomyClinical Cardiac Electrophysiology Physician
License NumberG39631
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License NumberG39631
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: